- 期刊
探討小兒驚風的歷史演變－研究方法初探
Historical Evolution of Traditional Chinese Medicine in the Pathophysiology and Treatment of Pediatric Convulsions: A Research Protocol
摘要
小兒驚風在傳統醫學中被視為一種急重病證，古代記錄類似於「胎驚」、「胎搐」、「搐搦」、「急驚風」、「慢驚風」、「癇證」、「痙證」和「癲癇」，主要表現為抽搐和昏迷等神經系統症狀。在中醫典籍中對於「驚」的病因，各時代的醫家常有不同理解與用藥，疾病的定義可能隨著時代而改變，像是傳染病、戰爭、自然災害等的發生。隨著時代演進，醫家對於驚風的概念擴大，但也可能是對於驚風的認知模糊。因此，本研究旨在闡明從古至今各醫家對小兒驚風的理解及治療的演變，利用兩種不同的資料庫系統進行研究，包括「DocuSky數位人文學術研究平台」和「全民健康保險研究資料庫」。我們將通過系統性整理和分析小兒驚風的傳統與現代醫學的描述，探索其症狀、治療方法與現代醫學中的對應症狀和治療效果。同時，我們也將探討外在環境和社會事件對於疾病的影響。本研究將使用文獻檢索和數據分析方法，整合歷史文獻和現代醫學數據，以期在大數據時代下，中醫能更精確地更新對其他疾病的認識。
並列摘要
Pediatric convulsions are considered a severe and urgent condition in traditional medicine, with historical records referring to similar conditions as "fetal convulsions," "neonatal convulsions," "spasms," "acute convulsions," "chronic convulsions," "epilepsy syndrome," "spasm syndrome," and "epilepsy." These conditions primarily manifest as seizures and coma, among other neurological symptoms. In traditional Chinese medical texts, the etiology of "convulsions" varies across different eras, with physicians having different interpretations and treatments. The definition of the disease may change over time due to factors such as infectious diseases, wars, and natural disasters. As time progresses, the concept of convulsions has expanded among physicians, but this may also indicate a lack of clarity in understanding convulsions. Therefore, this study aims to elucidate the evolution of understanding and treatment of pediatric convulsions by various physicians throughout history. The study will utilize two different database systems, the "DocuSky Collaboration Platform" and the "National Health Insurance Research Database." rough systematic organization and analysis of traditional and modern medical descriptions of pediatric convulsions, we will explore their symptoms, treatment methods, and corresponding symptoms and treatment efficacy in modern medicine. Additionally, we will investigate the impact of external environmental and social events on the disease. is research will employ literature review and data analysis methods, integrating historical documents and modern medical data, to enable traditional Chinese medicine to update its understanding of other diseases more accurately in the era of big data.